A recent audit by the Office of Inspector General (OIG) found that changes to CMS' system has significantly reduced Medicare overpayments to acute care hospitals for outpatient services. The OIG showed $39.3 million in overpayments had been made, particularly for services provided to...Read More »
The Office of Inspector General (OIG) is calling for Humana Inc. to refund $34.4 million in alleged overpayments made to the payer's HumanaChoice Medicare Advantage plan in 2016 and 2017,...Read More »
Between 2015 and 2016, Peoples Health Network received about $3.3 million in overpayments, according to a recent audit conducted by the Office of Inspector General (OIG). The OIG estimated this amount from the diagnosis codes...Read More »
After a series of problems and delays in their implementation of a new EHR modernization (EHRM) program, more issues have surfaced despite the Department of Veterans Affairs' (VA) efforts. The Department of Defense (DOD) Office of Inspector...Read More »
A New York City provider received an estimated $1.1 million in Medicare overpayments for behavioral health services that did not comply with billing requirements, according to a recent ...Read More »
A recent audit conducted by the Office of Inspector General (OIG) projected that hospitals received $47.8 million in net overpayments from January 2018 through July 2019 for Medicare Part A claims that did not meet national...Read More »